Breastfeed Med. 2019 Apr 16. doi: 10.1089/bfm.2019.0011. [Epub ahead of print]
Lactation Experience of Mothers and Feeding Outcomes of Infants with Congenital Diaphragmatic Hernia.
Spatz DL1,2, Froh EB1,2, Bartholomew D3, Edwards T4, Wild KT5, Hedrick H4, Nawab U5.
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This study explores the congenital diaphragmatic hernia (CDH) infant-mother dyad with regard to maternal lactation outcomes and infant exposure to a human milk diet.

This was a retrospective descriptive cohort study conducted at Children's Hospital of Philadelphia. A total of 149 infants born with CDH and admitted to the Newborn/Infant Intensive Care Unit (N/IICU) were included in the study.

Of 149 mothers, 141 (95%) initiated pumping for their CDH infants. At discharge from the N/IICU, 79% (n = 11 of infants were being fed human milk. Among those discharged on human milk, 55% (n = 65) were discharged being fed unfortified human milk with 9% (n = 11) being fed unfortified maternal hind milk.

This research demonstrates that mothers of CDH infants can effectively establish and maintain a complete milk supply and that the majority of infants with CDH can receive a human milk diet for the entire hospital stay.

breastfeeding; congenital diaphragmatic hernia; human milk

PMID: 30990325 DOI: 10.1089/bfm.2019.0011